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Where is the weight loss point? Acupuncture points for massage for weight loss at home

The first step in successfully combating back or lower back pain is to correctly determine the cause of its occurrence. The reason for providing specialized assistance may be lumbodynia and lumbago due to hypothermia, lumbago, pinching of the sciatic or other peripheral nerves, herniated intervertebral discs. To exclude other possible causes, it is better to undergo a full examination early after the onset of lumbar pain, including examination by a neurologist, orthopedist, gynecologist or urologist, therapist and gastroenterologist.

Only having comprehensive information about the body of a patient with back pain will the attending physician be able to correctly assess the situation and, accordingly, prescribe the correct comprehensive treatment:

NSAIDs (non-steroidal anti-inflammatory drugs);

Glucocorticoid hormones;

Decongestants;

B vitamins;

Chondroprotectors of synthetic and homeopathic origin.

What injection medications exist to relieve back pain?

The approaches of modern doctors regarding the treatment of back pain differ significantly from those concepts that were accepted earlier. This is due to differences in the arsenal of medications. The basic first-line drugs in the fight against spinal pain are NSAIDs (diclofenac, rheumoxicam, movalis, melbek, ketanov, dexalgin), simple analgesics (aspirin, analgin, paracetamol), paravertebral muscle blockade of pain points with local anesthetics against the background of spinal fixation with a corset. As soon as pain and muscle spasms decrease, massage, manual therapy and exercise therapy are prescribed.

The second basic and quite effective remedy was the use of vitamin preparations. The best gradual analgesic effect was seen with the injection of cyanocobalamin (vitamin B12). Other preparations of vitamins of this group (B1 and B6) have an additional neuroprotective effect in the fight against back pain. It has been established that only these vitamins are able to influence metabolic processes and the structure of nerve fibers, synaptic mediators, normalizing the normal innervation relationship between muscles and the irritated nerve. These data were confirmed by more than 90 large studies that showed the high analgesic ability of B vitamins, both in isolated treatment and in enhancing the effect of NSAIDs.

Modern preparations of B vitamins are complex and contain all their representatives (B1, B6, B12) in combination with lidocaine (Milgama, Neurobex, Neurobion, Neurorubin). This helps to enhance their analgesic effect, both general and local. It is best to prescribe them only for acute pain in the form of injections in combination with NSAIDs for a two-week course. After its completion, it is advisable to switch to taking tablet forms for a total duration of up to one month. Chronic back pain is less responsive to treatment with combined B vitamin preparations.

Blockades and manual therapy

If painkillers are ineffective, there are indications for the use of injections of anesthetic drugs around the spine (paravertebral blockades), elimination of deformities of the spinal segment and muscle tension through manual therapy and post-isometric relaxation. For blockades, solutions of local anesthetics (novocaine, lidocaine, longocaine, marcaine) are used in isolation, one of them, or a combination of two.

The injection technique involves moving the needle perpendicularly to its full depth through the skin at pain points around the spine. Usually, its end ends up in the muscles, where the anesthetic is injected. Immediately after this, manual therapy techniques are performed. The treatment session is completed by applying a warm compress to the painful area. Such procedures should under no circumstances be carried out independently or by people without appropriate training. Only a qualified specialist can perform them fully and correctly.

Efficacy, contraindications and side effects of NSAIDs

NSAIDs and analgesics for back pain are classified as symptomatic therapy. They only partially provide pathogenetic treatment, influencing the mechanisms of pain, but not eliminating the underlying cause of its occurrence. A large number of side effects have been observed due to long-term use of fairly common drugs from the group of NSAIDs and analgesics (paracetamol, aspirin, dikloberl, etc.)

Conducted studies examining the comparative effectiveness and side effects of all painkillers have established that there is no one drug that would reliably reduce back pain more intensively than others. Even the most expensive of them turned out to be completely useless in some clinical situations. It all depends on the individual characteristics of the pathology and the susceptibility of the patient’s body to a specific NSAID. The only thing they all have in common is gastrointestinal side effects.

According to the recommendations of researchers, the least toxic manifestations were observed with the use of drugs based on ibuprofen (ibuprom, nurofen). Even selective COX-2 inhibitors (Celebrex) did not appear to be as safe as ibuprofen. Therefore, when choosing an anesthetic drug, you need to be guided by common sense, scientific facts of real effectiveness and the frequency of possible side effects, as well as the price side of each product.

Chondoprotectors

What injections can be used to relieve back pain?

Back pain is a fairly common phenomenon that can signal the presence of a wide variety of diseases. Therefore, if it occurs, it is necessary to contact a specialist for qualified help and an accurate diagnosis.

Many people resort to self-medication and use injections for back pain. However, without a doctor’s recommendation, this is quite dangerous, since they remove the clinical picture of the disease, making a diagnosis becomes difficult, as a result of which serious complications can develop.

NSAIDs

Today, NSAIDs, analgesics, muscle relaxants and B vitamins can be used to relieve back pain.

Most often, the choice still falls on NSAIDs - non-steroidal anti-inflammatory drugs that have anti-inflammatory, antipyretic and analgesic effects. There are 2 groups of NSAIDs - selective and non-selective COX inhibitors.

Non-selective NSAIDs do not selectively inhibit cyclooxygenase (COX) enzymes, which take part in the formation of prostaglandins (inflammatory mediators). As a result of such inhibition, due to the cessation of prostaglandin production, the pain syndrome is relieved. Due to the fact that this group of NSAIDs does not act selectively, its representatives also inhibit prostaglandins, which act as protectors of the gastric mucosa. This is the cause of a side effect of taking such drugs - ulceration in the stomach.

Selective NSAIDs act only on COX-2, without affecting COX-1, due to which the destructive effect on the gastric mucosa is much lower. In addition, they are less likely to provoke other side effects, do not have a negative effect on articular cartilage, and can be used in long courses.
Among non-selective NSAIDs, the most popular injection drugs are:

Diclofenac (Naklofen, Ortofen, Voltaren)

This drug is indicated for arthritis, spondylitis, spondyloarthritis, osteoarthritis, gout attacks, spinal pain syndromes, post-traumatic and postoperative pain, renal and biliary colic.

It is not recommended to use the drug for gastric ulcers, liver dysfunction, under 18 years of age, as well as for pregnant and lactating women. The drug is injected intramuscularly deep into the gluteal muscle. The usual dose is 75 mg (1 ampoule) per day. If necessary, it can be increased to 150 mg per day.

Ketorolac (Ketanov, Ketorol, Dolak)

This remedy has an intense analgesic effect and is used for neuralgia, injuries and other pain syndromes, as well as in the postoperative period. These injections are contraindicated for back pain with stomach ulcers, bronchospasm, renal failure, pregnancy and lactation, and under the age of 16 years.

The drug is administered intramuscularly and intravenously at 10-30 mg up to 4 times a day, for no more than 2 days. The maximum dose of the drug per day is 90 mg.

Lornoxicam (Xefocam)

The use of this drug is indicated for arthritis, systemic lupus erythematosus, ankylosing spondylitis, sciatica, postoperative, dental and post-traumatic pain. The drug is contraindicated in case of bleeding and stomach ulcers, under the age of 18 years, during pregnancy and lactation.

The most commonly used selective NSAIDs in injection form are:

Meloxicam (Movalis, Artrosan, Amelotex)

These injections for back pain are indicated for exacerbations of arthrosis, chronic polyarthritis, rheumatoid arthritis, and spondylitis. Use is contraindicated for stomach ulcers, bleeding in the gastrointestinal tract and any other bleeding, under the age of 15 years, during pregnancy and lactation, and heart failure.

The injection solution can be administered exclusively intramuscularly. It is used only in the first days of illness, later switching to the tablet form of the drug.

B vitamins

Quite effective are injections for pain in the lumbar and back areas, which contain vitamins B12, B6, and B1, with vitamin B12 having the most pronounced analgesic effect.

The analgesic effect of such vitamin complexes is explained by their normalizing effect on the innervation of muscles, a beneficial effect on nerve cells and the restoration of damaged nerves. Some complex preparations also include lidocaine, which provides an additional local anesthetic effect.

Vitamin preparations help best in the acute course of the disease. In the case of a chronic course of the disease, their effectiveness is less pronounced.

You can take B vitamins in tablet form or injectable form. The latter is more effective.

Injectable preparations with B vitamins containing:

Milgamma

The drug contains thiamine hydrochloride (B1), pyridoxine hydrochloride (B6), cyanocobalamin (B12), lidocaine hydrochloride and excipients.
These injections are used for neuralgia, neuritis, myalgia, radicular syndrome, polyneuropathy, and facial nerve paresis.

Contraindications for use are heart failure, age under 16 years, pregnancy, lactation.

Milgama is administered intramuscularly deeply 2 ml once a day. Maintenance therapy is 2 ml of the drug 2-3 times a week.

Neurobion

This drug contains all the B vitamins that Milgam contains, but does not contain lidocaine hydrochloride.

This drug is indicated for use in intercostal neuralgia, sciatica, trigeminal neuralgia, plexitis, shoulder-hand syndrome, cervical and cervicobrachial syndromes, radicular neuritis, herpes zoster.

Neurobion is prohibited in children under 3 years of age, during lactation and pregnancy, in case of hypersensitivity to the components of the drug.

To relieve an acute attack of pain, 3 ml (1 ampoule) of the drug is injected intramuscularly. Then maintenance therapy should be carried out, administering 3 ml once a day 2-3 times a week for 2 weeks - 1 month.

Muscle relaxants

If back pain is spastic in nature, then centrally acting muscle relaxants come to the rescue. These drugs have a direct effect on the parts of the central nervous system that are responsible for regulating muscle tone, as a result of which muscle tension is relieved. Often, muscle relaxants are prescribed together with NSAIDs and allow you to reduce the dose of the latter, while accelerating pain relief.

The most prominent representative of muscle relaxants is:

Tolperisone (Mydocalm)

Indications for use are: myelopathy, encephalomyelitis, spondylosis, arthrosis, spondyloarthrosis, atherosclerosis, acrocyanosis and diabetic angiopathy.

The use of the drug is contraindicated in children under 1 year of age, pregnant women and during lactation, with reduced muscle tone.

The drug is prescribed 100 mg intramuscularly 2 times a day or 100 mg intravenously 1 time a day. It is well tolerated by patients without causing sedation.

For very severe back pain, sometimes doctors even prescribe narcotic analgesics (promedol, morphine, fentanyl). Their prescription is justified in the presence of a malignant tumor that is the cause of pain, or in cases where the use of safer drugs does not produce positive results.

All injections for back pain are prescribed only by the attending physician according to indications. After all, only a specialist can determine the advisability of using a particular remedy, the course of treatment and dosage.

Common injections for back pain

According to medical statistics, lower back pain is a very common problem that occurs in 70% of the population. The most effective method of treatment during an exacerbation of the disease is injections for back pain. The cause of pain can be a number of spinal diseases. Injections of appropriate drugs can bring relief and improve the patient's condition.

It is worth noting that the above-mentioned ailments can be divided into two types: those that affect bones and those that spread to soft tissues. Of course, the cause of lower back pain can only be diagnosed in a hospital, as well as a method for eliminating it. Therefore, you should not delay your visit to the doctor.

Medicines used for back pain

Unfortunately, people have a very frivolous attitude towards such a problem as lower back pain. People go to the pharmacy and simply buy the first ointment they come across for back pain or several ampoules of a medicinal solution for injections for back pain. But such actions are simply unacceptable. You need to treat your health wisely and entrust the choice of drug to a specialist.

For each patient suffering from lower back pain, doctors select treatment individually. As a rule, in case of acute pain attacks, injections for back pain are prescribed. The most common drugs used in such cases belong to the analgesic series. These are injections of ketanol, voltaren, diclofenac. These medications are not one-time use painkillers. Substances are injected in a complex manner to have a powerful effect.

Doctors try not to prescribe injections for back pain for a period longer than necessary for the reason that the injection relieves the inflammatory process in the areas affected by the disease, but destroys internal organs. Therefore, injections can be considered medical “heavy artillery.”

Common painkillers used exclusively to quickly relieve an attack of pain are an injection of novocaine, as well as lidocaine. These substances have been on the pharmacological market for a long time and have managed to prove their effectiveness. These drugs are also used in such branches of medicine as dentistry, gynecology, surgery, etc.

After the analgesic injection helps relieve pain in the affected area of the body, the doctor will conduct diagnostic tests.

The next stage of treatment after injections, as a rule, is a course of taking pills. It's good to use ointments. But all medications should be selected exclusively by the attending physician based on the diagnosis; self-medication is unacceptable here.

Possible causes of lower back pain

As mentioned above, the nature of the pain depends on its nature. If the cause of pain is a pathological change in connective or cartilaginous tissue, the pain is cutting in nature. In this case, injections of chondroprotectors are prescribed. Drugs in this series do not have analgesic properties; they immediately begin to restore the affected tissues. Such medicinal substances are very expensive, so people are often interested in analogues of these injections for back pain.

Surprisingly, even a weakened immune system can lead to back pain, although this problem is usually taken without undue seriousness. So, doctors say that in case of a severe decrease in the level of immunity, eating garlic and berries is not enough. To eliminate back pain of this nature, doctors prescribe a course of vitamins C, B1, B6 and B12. In addition, tactivin and sodium injections are often used. They are quite difficult for the body to perceive, but still in some cases it is simply necessary to treat in this way. The back requires special attention.

Symptoms indicating a complicated course of the disease and the inability to do without injections:

Inability to endure household physical activity due to pain.
Pain-induced weakness throughout the body and numbness in the limbs or spine.
Tingling in arms and legs.
Urinary incontinence.

If any of the above symptoms accompany low back pain, treatment should take these circumstances into account. You need to tell your doctor about this. The doctor will select the appropriate medications, taking into account that injections for back pain are complex in composition.

Medicines from different pharmacological groups are not administered simultaneously, as this may cause unintended side effects due to drug incompatibility.

Correct administration of medications

It should be noted that injections to relieve pain in the spine should be performed exclusively by a medical professional with special education. Such an injection is a complex procedure that involves the specific introduction of medicine into the body. In case of unprofessional intervention, side effects and deterioration of the patient’s condition are possible. The injection is given only after an allergy test to the drug has been previously carried out.

Injections are different in that they are administered both intramuscularly and intravenously. It all depends on the disease and the composition of the drug used. In special cases, injections are made directly into the soft tissue adjacent to the spine to speed up the effect of the substance.

Thus, back pain can be quickly and effectively overcome with the help of a properly selected course of treatment. If the patient cares about his health, he can independently select medications for the spine, based on medical literature. But this can be done solely in order to discuss with the attending physician the effectiveness of using a particular drug. It must be remembered that it is unacceptable to prescribe injections yourself.

You can develop your back using a set of special exercises. But doctors exclude this treatment option when using some injections for back pain, so caution will not hurt. Be sure to consult your doctor before starting health-improving exercises.

Do injections help with severe lower back pain?

Lumbar pain. Anyone who has experienced this dubious pleasure at least once understands how great the desire is to get rid of it. There are a lot of recommendations for this from specialists and amateurs. This is where the main danger lies in wait for us. Elimination of pain does not always affect the pathological process that led to its appearance.

Action of injections

In other words, before eliminating the pain, you need to find out the cause and try to influence it. The most common cause of lumbar pain is lumbosacral radiculitis due to osteochondrosis. Due to degenerative processes in the cartilaginous tissue of the intervertebral discs, the roots of the spinal nerves become pinched and become inflamed, with the development of a corresponding pain syndrome. To treat this syndrome, along with massage, physical therapy and therapeutic exercises, medications are used - tablets, ointments and injections for lower back pain.

The following clinical effects are achieved through injections:

Anesthesia
Relieving inflammation in nerve roots
Restoration of damaged cartilage
Strengthening local blood supply
Strengthening the immune system.

In this regard, drugs used as injections for lower back pain can be combined into the following drug groups:

Analgesics
Steroid hormones
Local anesthetics
Chondroprotectors
Vitamins
Immunomodulators.

Symptomatic treatment

Analgesics and NSAIDs are the most commonly used injections for sciatica. However, these are perhaps the least effective means. Analgin, dexalgin, movalis, reoopirin, diclofenac perfectly relieve inflammation and pain, but do not affect the course of the pathological processes that led to its appearance. In addition, many of these drugs have a negative effect on the liver and kidneys and can contribute to the development of bronchial asthma and bleeding stomach ulcers. At the same time, eliminating pain is also an important step in the treatment of radiculitis and lower back pain.

The most effective method of pain relief is paravertebral blockades. The medicine (novocaine, lidocaine or some other local anesthetic) is injected into the paravertebral points. These points are located near the midline of the lumbar spine and are a projection of the exit of the spinal nerve roots. The effect of paravertebral blockades is quick but short-lived. Steroid hormones (prednisolone, hydrocortisone, diprospan) also eliminate inflammation, but have a lot of side effects.

Pathogenetic treatment

Related article:
Treatment of lower back pain with folk remedies

Pathogenetic treatment is more effective than pain relief. After all, here the chain of those negative processes that led to damage to the spine and back pain is interrupted. Chondroprotectors are injections for back pain that help restore the connective tissue of intervertebral discs and ligaments. Intramuscular injections of chondroitin sulfate, rumalon, mucosate promote cartilage regeneration. True, to achieve the desired result, a long course of use of these drugs will be required, and they are not cheap. But, as you know, the goal justifies the costs.

Back pain is a sure sign of weak immunity. In this regard, intramuscular administration of such agents as Echinacea compositum, sodium nucleinate, tactivin (administered subcutaneously) is indicated. Microcirculation can be improved by intravenous drip administration of pentoxifylline or trental, previously diluted in a bottle of saline solution. Vitamins C (ascorbic acid), B1 (thiamine), B6 (pyridoxine) and B12 (cyanocobolamine) enhance tissue metabolism and strengthen the body's defenses. They cannot be administered in the same syringe. Some doctors generally recommend taking a break of at least an hour between administrations of different vitamins.

Only a doctor can prescribe drugs for injection with the selection of dosages, routes and frequency of administration. The appointment is carried out taking into account the causes of lower back pain, the stage of the disease, as well as the individual characteristics of the patient (gender, age, concomitant diseases). Self-medication is not allowed.

To solve most problems with the spine, it is better to use medications in the form of injections. Injections for back pain will provide a quick effect, creating a good basis for the further treatment process. However, due to the higher risk of side effects and complications, this option for administering the drug can only be used as prescribed by a doctor and subject to a number of mandatory conditions.

Painkillers in the form of injections

In case of severe pain, in case of severe sciatica or against the background of a lumbago in the back, the most effective treatment is pain relief with the help of an injection of a medicinal solution.

Novocaine blockade

Using a local anesthetic solution for lower back pain will quickly relieve the problem and allow you to move. Paravertebral blockade is several injections against the background of back pain, in which the injection points of the medicine are located in the places of the most pronounced pain. The volume of novocaine injected into the tissue is small, the technique is simple, and the effect is not long in coming - the pain goes away almost immediately within a few minutes. However, this manipulation can only be performed by a doctor.

Anesthetic injections

With lumbago, the optimal way out of an unpleasant situation will be injections for back pain. Lumbar osteochondrosis, which is a chronic process, does not get worse often. But if it is impossible to straighten up and severe pain prevents you from moving, then the sick person needs help quickly and effectively.

Ointment and tablet forms of medicines cannot provide this. But intramuscular injection of 1 ml of Ketorol solution will provide an excellent effect for severe back pain.

NSAID injections

Diclofenac

Anti-inflammatory drugs are widely used to treat most spinal problems. Tablets are most often used, but this dosage form is good for treating chronic diseases or mild exacerbations. Severe pain caused by an intervertebral hernia cannot be relieved by them. However, if you use injectable forms, then in combination with anesthetics the effect will be maximum.

One of the best drugs is Diclofenac. One ampoule contains 75 mg of active substance. Injecting the medicine deep into the muscle will provide an excellent anti-inflammatory effect for 12 hours. Doctors often prescribe Movalis, which has excellent anti-inflammatory and analgesic effects. Usually, 1 injection per day is sufficient for pain relief, but this drug cannot be combined with other NSAIDs and it is not advisable to use it for more than 3 days.

Combination drugs

Medicinal solutions that combine an anesthetic component and B vitamins are good for back pain. The latter work great in acute neurological situations due to the fact that they have excellent sensitivity to nervous tissue. Using the drug Milgamma in complex treatment (2 ml of solution injected daily deep into the muscle) will help cope with acute pain associated with radiculitis.

The onset of the desired effect in the form of pain relief and a significant reduction in the risk of complications depends on compliance with certain rules:

the specific drug and dosage of the medicinal solution must be prescribed by a doctor;
it is necessary to strictly follow the doctor’s recommendations on the duration of the course of treatment (for example, it is not advisable to continue treatment with NSAID injections for more than 2-3 days);
you cannot independently use those medications that helped in the past;
Do not use drugs that have expired;
injections must be done under certain conditions.

Conditions for performing injections

Performing injections

Any medicine in injection form, including an injection for back pain, must be used strictly following the rules of antiseptics. This will prevent complications, both from the administration of the drug and from the manipulation itself. The necessary conditions for fulfilling doctor’s orders include:

injections can be given by a medical professional or a specially trained person without medical education;
before drawing the medicine into a syringe, you must carefully read the name of the drug on the packaging and on the ampoule;
it is necessary to strictly follow the instructions for preparing the drug for intramuscular administration, which are indicated in the annotation for the drug;
It is imperative to treat the skin at the injection site with an alcohol-containing antiseptic;
after inserting the needle into the muscle, it is necessary to make sure that no nearby vessel is damaged;
the rate of introduction of the solution should not be fast.

It is optimal if pain-relieving injections for the back are given by an experienced nurse. In this case, the injection itself will be painless, the risk of complications is minimal, and the analgesic effect will occur quickly.

spinanezdorova.ru

Back pain, according to statistics, is second only to colds in terms of frequency of visits to the doctor. The causes of such pain are varied and may require extensive testing to identify them. Sometimes back pain is a sign of a serious illness. The back may cause diseases of the heart, kidneys, liver, pancreas, stomach, and pelvic organs. In diseases of the spinal cord (including oncology), such pain is often the only symptom.

The cause of back pain can be destruction of the vertebrae and infectious pathology of the nerve roots due, for example, to osteomyelitis. Tumors affecting the spine can also cause such pain. These can be primary neoplasms and metastases, as well as myeloma.

However, all of these diseases are rare. The vast majority (up to 95%) of back pain cases are caused by problems with the spine or back muscles.

Back pain due to spinal diseases

The main causes of back pain in such cases are:

Degenerative-dystrophic diseases (osteochondrosis and its complications)
Congenital and acquired deformities (scoliosis, kyphosis, kyphoscoliosis, lordosis, vertebral displacement, stenosis, spinal instability, fractures, etc.)

Back pain due to muscle inflammation and spasms

The causes of such pain can be spasms from muscle overexertion for various reasons:

Forced long-term stay in one position, usually associated with profession
Irritation of receptors due to changes in discs, ligaments, joints, which leads to tension and spasms
Prolonged immobility due to fractures, bruises and other injuries
Hypothermia and muscle compression
Sudden and intense sports stress
Direct bruises of the spinal muscles
Emotional stress accompanied by muscle tension
Inflammation of skeletal muscles (myositis)

Back pain can be of a very different nature, intensity and location. To choose effective treatment, it is necessary to determine the cause of back pain. For somatic and psychosomatic disorders, all efforts should be aimed at treating the underlying diseases.

If back pain is caused by muscle inflammation and spasms, a variety of means are offered to relieve pain and alleviate the patient’s condition: tablets, injections, massage, herbs, ointments, traction, manual therapy. But some of the methods listed are often ineffective or completely ineffective.

Of these methods, injections remain the most radically effective. Let's take a closer look at the drugs that are used to relieve back pain.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

The most common pain-relieving injections used for spinal pain. They are inexpensive and quite effective. They have an anti-inflammatory and analgesic effect. The lion's share of causes of back pain is due to osteochondrosis. These drugs have an anti-inflammatory effect and suppress biologically active substances at the site of pathology, which is especially important. The second direction of action is direct pain relief.

The main disadvantage of NSAIDs is that they do not act on the cause of pain during remission. For severe back pain, drugs in this group do their job very well.

The main reason for their low effectiveness may be incorrect prescription. From a large group of drugs, the doctor often chooses the one that has, for example, a pronounced anti-inflammatory effect. And during this period the patient has severe pain and needs an analgesic effect. For back pain, NSAIDs with a predominant analgesic effect should be prescribed. Such drugs include:

naproxen
ketorolac, ketorol, ketanov, ketalgin (the most powerful drugs of the group)
ketoprofen
tiaprofenic acid
diclofenac

The list does not include the newest meloxicam and celecoxib, and there is also no proven aspirin, since they all have a predominantly anti-inflammatory effect.

In addition to the correct choice of drug, adherence to the medication regimen is important for effective treatment. Strict adherence to dosage recommendations is another component of proper treatment.

Side effects of this group of drugs include drowsiness, anxiety, and swelling. Pain at the injection site is also possible.

NSAIDs with antispasmodics or muscle relaxants

When muscle spasms and compression of the spinal cord nerve roots occur, NSAIDs with analgesics have no effect. In this case, antispasmodics are added to the treatment regimen. Their purpose is to relax muscles and increase the effectiveness of painkillers. The simplest representative of antispasmodics is drotaverine, which can be purchased without a prescription.

Side effects of drotaverine are insomnia, headache, decreased blood pressure, nausea, palpitations, allergic reactions.

The second group of drugs with similar effects are muscle relaxants. They are prescribed only in a hospital setting equipped with resuscitation equipment, under the supervision of a doctor. This speaks quite clearly about the danger of their uncontrolled use.

Paravertebral blockades. Analgesics and corticosteroids

Paravertebral blockades are another very effective method of relieving back pain. This is a serious medical procedure, which is strictly prohibited at home. The effectiveness of the blockade is in many ways similar to NVPS, i.e. it is also heterogeneous.

When choosing basic drugs, do not try to save much on them. Treatment with hormonal drugs may be ineffective, but at the same time relatively expensive. For example, a drug such as hydrocortisone is practically useless and has a lot of side effects, but is still widely used in traumatology due to its low cost.

When talking about the reasons for the low effectiveness of blockades, one must also take into account the possible lack of qualifications of the doctor. Since blockades can be varied in depth and direction, the qualifications of a specialist play no less a role here than correctly selected drugs.

When treated with corticosteroids, side effects are especially dangerous. They appear in cases of drug withdrawal and their use in doses exceeding physiological ones. If treatment is discontinued, a sharp exacerbation of the underlying disease and adrenal insufficiency may occur. The recovery period can be long and can range from several months to one year.

Possible side effects of corticosteroid treatment include:

Fungal and bacterial infections due to suppressed immune system
Peptic ulcer
Steroid myopathy (impaired muscle function), incl. respiratory muscles
Mental disorders

Are Diclofinac injections (for back pain) harmful if they cause severe stomach upset?

Treating back pain with painkillers is a dead end. After some time, the drugs stop working, and the disease only progresses. We need pain to control the condition. Bubnovsky’s technique helps very well with this. I myself have 2 hernias, I do Bubnovsky gymnastics. I refused the operation, my back has been bothering me a little for a year now, and I lead a normal life. I post a video of exercises according to Bubnovsky and also these are exercises for pain

Very harmful... Moreover, they cause stomach ulcers... but sometimes you can’t do without them... ((((

Zhenya and Anya

it’s better to choose a replacement.. diclofinac accumulates in the body and harms the gastrointestinal tract + ceases to help as intended ((

Andrey Enyutin

to tell the truth, in some cases suppositories are better, but they have the same effect on the stomach. Ideally, the stomach is “closed” with Cytotec, but if it is not there, almogel will do. 3-4 times a day a teaspoon

Alexey Orekhov

Choose the lesser of two evils...

ALEXEY KONOVALOV

I completely agree! It’s better to choose ointments and manuals!

Use Diclofenac Sodium Gel.

All non-steroidal drugs have a negative effect on the stomach. It is better to do rubbing and massage of the back. As a last resort, to relieve acute pain, you can drink or inject Diclober. Along the way, to relieve stomach irritation, drink egg white

Vasily Zheleznov

After such injections, a rare specialist will then undertake normal treatment of the spine.
Manual therapy plus massage with Dr. Tice's comfrey ointment. Drink at least 1.5-2 liters of clean water per day, lecithin, sulfur, a drug for joint restoration.

Back pain significantly worsens a person’s life, interfering with work and rest. But in order to prescribe treatment, the doctor must first conduct a detailed examination of the body and make a diagnosis. Unfortunately, it is impossible to do this without eliminating the exacerbation and pain syndrome. To cope with acute painful symptoms, injections of diclofenac, movalis, milgamma, etc. are used. These drugs are usually administered intramuscularly using injections into the buttock. In some cases, if the pain is very severe, the doctor may inject directly into the affected area. This approach is called a blockade, for which novocaine or lidocaine is usually used. By correctly placing the blockade, you achieve rapid relief of symptoms, since the injections instantly eliminate spasm and reduce inflammation.

Back pain is the price modern man pays for civilization

Unlike the ancient ancestor, modern man does not need to run for days after a mammoth and climb trees for dry branches in order to have something to eat and something to keep warm. All the benefits of civilization are at our service - we have stopped using our legs as a means of transportation over long distances, any physical labor has long been replaced by mechanisms, even the physical efforts exerted in the household of a modern woman are incomparable with those that were 30-50 years ago .

Constantly sitting behind the wheel, at a desk, or at an office computer cannot but affect your health. The lack of physical activity and, on the contrary, constant tension of the same muscles does not contribute to the optimal functioning of organs and systems - over time, pathological changes accumulate, leading to various exacerbations and diseases.

Most often, back pain is associated with spinal problems caused by degenerative changes in structural elements, congenital problems, uneven loads, curvature due to incorrect posture, and lack of motor exercises. Back pain often occurs due to injuries that go unnoticed or are not fully treated.

The spine is the most important life support organ, which is a kind of center and basis for the interaction of all organs and systems of the human body. Through the spinal cord passing through it, it “knows” about each organ and reacts with pain signals in the back area if this organ fails. Therefore, diseases not only of the musculoskeletal system, but also of the internal organs manifest themselves as syndromes of different strengths and sensations (pulling, sharp, aching, difficult to bear, shooting, dull).

Every year the number of cases of disability due to advanced back pain increases, but the trends are such that, even suffering from them, people are in no hurry to change their lifestyle and run for medical help, believing that it should go away on its own. This is a very erroneous opinion - in fact, everything is much more complicated.

Modern methods of relieving back pain

Once the disease causing your problems is identified, appropriate therapy is prescribed. Modern medicine has an extensive arsenal of tools that can stop the manifestations of any pathology and achieve a speedy cure. The range of measures includes: methods of reflexology, physiotherapy, physical therapy, kinesiotherapy and massage.

Some of the reflexology techniques that have worked well include:

electroacupuncture – intermittent electrical stimulation through needles;
acupuncture injections of biologically active points;
electrical neurostimulation is a method that relieves pain signals going to the brain.

Among the arsenal of physiotherapeutic procedures, the following are most often used:

electrophoresis - administration of drugs using electrical impulses;
laser therapy – treatment using light beams of various spectra;
phonophoresis – ultrasound treatment;
magnetic therapy - exposure to a low-frequency magnetic field.

Surgical treatment, mainly excision of hernias, is used if conservative treatment is not effective. If a chronic process is detected that has acquired signs of an independent disease, you will have to receive special treatment, longer and more intense.

The first step in the treatment of back pain syndrome, as a rule, is drug therapy in the form of injections to block the pain syndrome. Let's talk about it in more detail.

Drug therapy

Medicines used for back problems are intended for the following purposes:

pain relief;
relief of the inflammatory process;
decrease in temperature;
muscle relaxation;
improvement of tissue trophism;
restoration of destroyed structures, etc.

For this purpose, the following groups of drugs are used:

Analgesics relieve inflammation and have an analgesic effect. Names of painkiller injections: analgin, paracetamol, indomethacin, ibuprofen, diclofenac, naproxen, milgamma. They are used in the form of injections, tablets, gels and rubs.
Narcotic analgesics are designed to relieve very severe pain. They are prescribed rarely, in cases where other drugs do not have an effect. These are morphine, codeine, promedol, fentanyl.
Group of non-steroidal medications: meloxicam, neurobion, ketonal, diclofenac, trigamma. Injections of these drugs can relieve the most acute, shooting pain that appears when moving.
Group of steroid drugs: prednisolone, hydrocortisone, flosterone, betamethasone, diprospan. These drugs are good for local elimination of the source of pain, but their duration of action is short. Popular for blockades.
Agents that improve microcirculation of affected tissues: Trental, Cavinton are secondary therapeutic agents for back problems. Their main role is to supply oxygen to diseased tissues.
Vitamin-containing complexes, being at the same time nootropics, have an analgesic and anti-inflammatory effect: milgamma, calcium, magnesium, vitamin D.
A group of muscle relaxants relaxes muscles during various strains, relieves increased tone, resolves trigger nodes, and eliminates spasms. These are mydocalm, seduxen, baclofen, arthrozol, sirduralm, norflex.

Blocking pain is the beginning of eliminating back discomfort

As a rule, a person is sometimes forced to seek professional help from doctors by acute, persistent back pain, which cannot be relieved with local anesthesia (ointments or gels). Meanwhile, according to the unspoken guidelines of vertebrologists (specialists in diseases of the musculoskeletal system), acute pain in the cervical, thoracic or lumbar back must be urgently eliminated, and this procedure is one of the priorities in treatment.

In this case, the doctor prescribes a so-called injection blockade, that is, he determines which injections to give to relieve pain. Such therapeutic blockades are nothing more than the direct administration of a drug to the site of inflammation. They are the most effective remedy, providing long-lasting pain relief and a pronounced therapeutic effect.

Medicinal effects such as blockade injections are always carried out within the walls of medical institutions, as they require highly qualified techniques. This procedure should be carried out by doctors: traumatologists, neurologists, orthopedists, vertebrologists, neurosurgeons who thoroughly know the anatomy and structural features of the spine, and are aware of the possible complications in this case and know how to overcome them. Due to the seriousness of the procedure, the patient is always asked to sign a consent form.

Blockades are prescribed due to acute pain in:

osteochondrosis of all parts of the back;
intercostal neuralgia and neuritis;
herpes zoster;
intervertebral disc protrusion;
for hernias;
herpes zoster;
muscle inflammation;
spondyloarthrosis of the spinal column.

Types of blockades

The therapeutic value of the blockade is due to the targeted “interception” of the pain impulse coming from the pathological source of pain to the neurons of the brain. The effect is achieved largely due to the precision of manipulation.

Solutions for blockades are classified according to the amount of active ingredients:

single-component, in which the blockade is one substance;
two-component - from 2 substances;
multicomponent - contain three or more active ingredients.

When treating pain at trigger points, anesthetic blockades are administered:

lidocaine;
merkain;
novocaine.

These blockades successfully relax the muscles and restore their lost tone. Before their introduction, susceptibility testing is carried out, since they often cause allergies.

Glucocorticosteroids are powerful anti-inflammatory drugs that eliminate swelling, inflammation and pain:

Dexamethasone - mainly used to block soft structures.
Hydrocortisone - in combination with analgesics, neural blocks are produced.
Diprospan - has a prolonged effect.
Kenalog - used for rapid pain relief in joints and spine, requires rare use, at intervals of 2 weeks.

Blockades that are produced to eliminate pain in areas adjacent to the spine are called paravertebral, or paravertebral. The doctor decides which injections to prescribe in order to relieve the syndrome associated with both the physiology and neurology of the spine.

They differ in the place of impact:

Receptor - these types of injections are performed into biologically active points of the skin, ligaments, tendons and muscles.
Tissue - the soft tissue around the affected part of the spine is chipped.
Conductive - these injections stop the nerve conduction of the tissue.
Ganglionic - pursue “switching off” the pain syndrome by injecting directly into the nerve node.

The areas of blockade application represent the entire topography of the human body, depending on the source of pain.

Mechanism of administration

The mechanism of administration can be different: subcutaneous, muscular, intradermal. Injections into the intervertebral space, performed through a special catheter, require special skill. Of course, this procedure cannot be carried out without the high professionalism of medical workers.

Blockade injections also have diagnostic value. If there is any doubt about which part of the spine provokes the pain, the introduction of an analgesic substance into certain areas allows you to “turn off” it if it is in fact associated with a pathology of the spine. If the pain does not subside after the blockade injection, therefore, the cause should be looked for elsewhere.

Difficulties arise in cases of advanced chronic pain, when they no longer take on a peripheral, but central character, and are associated with a stable focus of excitation of brain structures. In this case, blockades alone are not enough to relieve pain; psychotherapy and additional treatment with antidepressants and antiepileptic drugs are called in to help.

In some cases, the doctor rejects the possibility of using a blockade due to the presence of contraindications:

childhood;
general infection of the body;
pregnancy;
tendency to bleeding due to serious disorders of the hematopoietic system;
unconscious or general serious condition of the patient;
hypersensitivity to those substances that need to be administered;
Heart arythmy;
hypotension;
psychical deviations.

Possible complications

The risk of complications after blockades occurs, as with any surgical intervention. However, the mutual coordination of the actions of a highly qualified doctor, a prepared patient and the sterility of the procedure will help to significantly reduce it.

Undesirable consequences may be as follows:

infection of injection sites, infection in the spinal cord;
bleeding;
damage to various tissues - ligaments, muscles, nerves;
allergic reactions;
specific complications associated with the effects of administered substances.

Only after acute pain has been relieved with the help of blockade injections, conditions arise for a detailed classification of symptoms and the appointment of a set of diagnostic measures to identify the exact cause of back discomfort.

The use of injections in the treatment of pain in the spine

With long-term use of tablet forms of drugs, side inflammatory processes in the stomach and intestines are often observed, which subsequently creates the need for their treatment. Therefore, most doctors insist on taking a course of injections - an intramuscular or intravenous method of delivering medicine to a sore spot. Bypassing the gastrointestinal tract, the drug in the form of injections is delivered faster to the problem area and eliminates the manifestation of side effects.

The doctor prescribes injections for back and lower back pain based on the diagnosis in the first week of the disease. Typically, the regimen is a course of glucocorticoid hormones, analgesics, structure restorers, muscle relaxants, depending on the severity of the disease.

Injections are rightly considered the most effective method for relieving pain - they quickly stop acute attacks. Urgent use of pain-relieving injections is required in the following situations:

the occurrence of intractable pain;
tingling sensation in the arms and legs;
when unusual weakness and numbness appear in the limbs;
if you experience pain when urinating.

Therapy of spinal diseases

The basis of treatment for diseases of the spine and lower back are drugs that have both analgesic and anti-inflammatory effects. Let's talk about some of them, especially those that have gained popularity due to their medicinal qualities.

Diclofenac

This is one of the most popular drugs today, a kind of “gold standard” prescribed by doctors for the treatment of back and lower back problems with injections. It belongs, together with its “brothers in the shop”, ketanol and voltaren, to the line of non-steroidal anti-inflammatory drugs. It is produced in ointments and gels, but it is the injections that have a strong and rapid anti-inflammatory and analgesic effect lasting at least 12 hours.

The particular advantages of using diclofenac are expressed in the rapid release of the active substance into the blood and minimal side effects.

Medicines from the non-steroidal anti-inflammatory drug line, especially their new derivatives, are characterized by achieving a pronounced long-term effect in a short period of time, but some side effects cannot be excluded:

headaches, dizziness, insomnia;
impaired renal function, severe edema;
likelihood of bleeding;
anemic conditions;
spasms of the lower extremities;
visual impairment, hearing disorder;
digestive tract disorder;
allergic reactions (with diclofenac sodium injections);
turning the injection area into an abscess.

Because of this, prescribing a course of diclofenac for a short time (up to 4 days) is justified. After relief of unpleasant symptoms, the drug is not used. It is prescribed with caution if dyspeptic disorders are present or there is a risk of bleeding.

Injections are prescribed once a day, in a single maximum dose of no more than 150 mg. Before use, the ampoule must be warmed in warm water. The injection should reach the deep layers of the buttock, the location should be alternated due to the threat of an abscess. Subcutaneous and intravenous use of this device is not permitted.

children under 6 years old;
having diseases that threaten bleeding;
with diseases of the blood, kidneys and liver;
those suffering from bronchial asthma;
people over 80 years old.

Meloxicam

This medicine has anti-inflammatory, antipyretic and analgesic effects, effectively eliminating pain of various etiologies in the body. Movalis is an identical medicine with the same active ingredient. To relieve back pain, it is very popular among doctors to prescribe this substance in the form of injections in a dosage corresponding to the type and severity of the disease.

The range of diseases for which treatment with meloxicam is indicated is quite wide:

osteochondrosis of various manifestations;
rheumatoid arthritis;
arthritis and arthrosis of unknown etiology;
joint pain;
radiculitis;
polyarthritis;
spondylitis;
osteoarthritis and osteoarthrosis.

The drug is perfectly adsorbed, well absorbed (95%), and does not affect concentration.

Its use is contraindicated in the following population groups:

persons with individual high sensitivity to it;
people with kidney and liver failure;
with exacerbations of ulcers of the digestive organs;
children under 16 years of age;
during pregnancy and feeding;
for a number of serious allergic diseases.

An important caveat regarding meloxicam is that it is not advisable to inject it simultaneously with other non-steroidal drugs, as there is a high risk of intoxication. Also, its interaction with acetylsalicylic acid leads to ulcers and bleeding in the stomach and intestines.

For persons taking contraceptives and hypotensive drugs, meloxicam injections reduce the effect of their use to zero. A high risk of decreased concentration during injections implies restriction on driving.

Injections are usually prescribed in a dose of 7.5 milligrams of the active substance, once a day. For severe inflammation, the dose can be up to 15 mg. A course of 3-4 days is usually sufficient to relieve acute symptoms and relieve pain.

In case of overdose, the following disorders may occur:

gastrointestinal tract in the form of diarrhea, flatulence, vomiting;
cardiovascular activity – rapid heartbeat, pressure surges;
respiratory system in the form of shortness of breath;
nervous system in the form of dizziness, tinnitus, confusion, disorientation, constriction of cerebral vessels;
organs of vision;
urinary system;
allergic skin reactions - rashes, urticaria.

Milgamma

This combination drug includes solutions of B vitamins that are compatible with each other:

thiamine;
B6 pyridoxine;
B-12 cyanocobalamin.

B-group amino acids are responsible for carrying out enzymatic reactions in the body, which play a key role in fat, carbohydrate and protein metabolism. Milgamma organizes nervous excitation in synapses, protects cell membranes from the toxic effects of oxidative reactions.

It is a mistaken opinion that milgamma is used as a general tonic for vitamin deficiency conditions. Milgamma injections are an active compound that has excellent anti-pain properties, which have not yet been fully studied.

Milgamma injections are successfully treated for all neurological problems of the spine, with a combination of various pains, muscle-tonic syndromes, paresis and neuralgia, and many others. Used in combination with other elements of complex therapy. They are especially popular in the clinical environment when it is necessary to relieve acute vertebrogenic back pain.

The medicine is also effective for relieving acute pain. It is prescribed 2 mg intramuscularly for 10 days. For long-term treatment of the disease, the doctor prescribes more rare injections - 2-3 injections per week for 3 weeks or a month.

The solution contains lidocaine, which ensures a painless procedure. The drug is characterized by safety in terms of side effects and high tolerability. A special therapeutic effect is observed when it is combined with non-steroidal anti-inflammatory drugs, in particular with diclofenac. With this treatment, a more pronounced analgesic effect is observed than with monotherapy.

How to give an intramuscular injection at home

When the severity of the disease subsides, you will be given a blockade, undergo the necessary diagnostic procedures, and the doctor will determine the cause of the pain and prescribe the necessary treatment. Most often it consists of a course of injections. For diseases that require hospital stay, the question of performing an injection disappears by itself. And if a home regime with a course of injections is recommended, then it is quite possible to give injections on your own. We are not talking about complex administration options - intravenous infusion or subcutaneous administration. Such injections require a minimum of nursing qualifications. And with intramuscular injections, it is quite possible to cope by calling on family members for help, of course, having previously received the approval of a doctor.

There are often situations in life when you need to quickly give an injection not only to yourself, but also to family members, without resorting to the help of doctors, and this skill will come in handy more than once.

Moreover, there is nothing complicated about it. It is much more convenient when you give the injection not to yourself, but to someone at home. The procedure is as follows:

Wash your hands thoroughly with soap.
Shake the ampoule, break off the tip with a cotton swab, draw the medicine into the syringe, making sure that there are no air bubbles left. Cover the needle with a cap and set aside temporarily.
Mentally determine the injection site on the buttock - divide it crosswise, select the upper outer quadrant and wipe the injection site with alcohol. Injections are always placed in this exact place because the sciatic nerve is located furthest from here, touching which can cause big problems. This quadrant also has the greatest muscle thickness, which contributes to the effectiveness of the procedure.
Take the syringe in your right hand (in your left hand - left-handed!), remove the cap and insert the needle perpendicular to the surface of the skin into the prepared place approximately 2/3 of the way, that is, so that 1/3 remains visible. If the injection is injected shallowly, under the surface of the skin, an abscess may occur.
Do not inject the medicine too quickly, pressing the plunger with your thumb.
Quickly remove the syringe, apply an alcohol swab and massage the area a little.

As you can see, this is a fairly simple manipulation. To protect yourself, you can ask the nurse in the treatment room to demonstrate the first injection so as not to be afraid of the pain.

It should be borne in mind that in the vast majority of therapeutic injections, their effects cannot be painless. Painful sensations remain in the muscles for a long time, radiate to the legs and lower back, and remind themselves when walking, bending, etc. This is a normal reaction of healthy tissues to the aggressive invasion of a foreign body, although it brings improvement in its final result.

Injections for back pain are prescribed only after a full examination and identification of the cause of the pathological condition. Injection of drugs makes it possible to quickly deliver drugs to the source of inflammation, relieve pain, and stop the inflammatory process affecting the spinal nerve roots.

Treatment of back pain is a complex set of therapeutic measures, which is carried out under the supervision of a neurologist or osteopath. Other specialists are often involved in the treatment process - urologists, gastroenterologists or gynecologists, since the back can hurt not only due to lesions of the musculoskeletal system, but also due to diseases of the digestive or genitourinary system. What injections are used when your back hurts, how do they affect the body, are there any contraindications to their use? You will find answers to these questions in our article.

Why does my back hurt?

The most common causes of back pain are degenerative-dystrophic diseases of the spine:

spondyloarthrosis;
myositis;
spinal stenosis;

No less common are conditions associated with congenital pathologies, injuries or curvature of the spine, infectious and systemic autoimmune diseases affecting the tissues of the spinal column.

Pain in the back and lower back can be caused by simple hypothermia or overexertion caused by excessive physical exertion. In some cases, the cause of discomfort is diseases of the internal organs, in which pain radiates to the back (for example, inflammation of the gallbladder, peptic ulcer, gastritis, colitis, renal colic).

Good to know

Back pain in the area of the shoulder blades can be felt with diseases of the cardiovascular system, in the area of the ribs - with intercostal neuralgia, in the lumbar area - with gynecological pathologies and kidney damage.

Unpleasant sensations can be caused by a psychological factor (severe stress, nervous breakdown) or problems affecting the pelvic organs. The most severe manifestations of pain are observed with a malignant tumor process with metastases or tuberculosis.

The doctor’s task is to make the correct diagnosis and determine the cause of back pain. Only after this can you begin to select drugs and treatment tactics, taking into account the characteristics of the concomitant disease.

What injections are given for back pain?

Therapy for back pain most often begins with injections, as the most effective and fastest-acting method of treatment. After the patient’s condition improves, other forms of medications (tablets, ointments, gels, suppositories) are selected. The main list of injections for back pain includes drugs from the following groups:

drugs from the NSAID group (Diclofenac, Meloxicam, Ibuprofen, Ketoprofen, Nimesulide, etc.);
anesthetics for local blockades (Lidocaine, Novocaine);
steroid drugs (Prednisolone, Diprospan);
muscle relaxants (Mydocalm, Sirdalud, Norflex);
fortified complexes based on B vitamins.

Effective injections for back and lower back pain are available in the group of chondroprotectors (Aflutop, Adgelon), the action of which is aimed at restoring the cartilage tissue of the intervertebral discs. As an addition to the main treatment, agents are used that improve blood microcirculation and oxygen supply to tissues (Cavinton, Trental).

Good injections for back pain

Let us dwell in more detail on the drugs intended for the treatment of back pain and consider the features of the use of medications in each group.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

For back pain, drugs in this group are most often prescribed. They exhibit a pronounced analgesic and anti-inflammatory effect, quickly relieve swelling, and have an antipyretic effect.

Indications. Drugs from the NSAID group are used to relieve constant or severe shooting pain that impedes physical activity. The main indications for use are osteochondrosis, radiculitis, protrusion of intervertebral discs, intercostal neuralgia, traumatic injuries (bruises and sprains).

Contraindications. Drugs in this group effectively relieve pain, but do not eliminate the root cause of the disease; moreover, they have many side effects, so they are used in short courses. Main contraindications:

individual intolerance to components;
peptic ulcer of the gastrointestinal tract;
gastritis;
kidney diseases;
pathologies of the cardiovascular and nervous system;
asthmatic manifestations.

Drugs from the NSAID group should not be prescribed in childhood, during pregnancy and lactation, in the presence of severe systemic diseases, or malignant tumors.

Names of injections for back pain from the NSAID group:

Diclofenac. This drug is considered the “gold standard” in the treatment of pain in the back and lower back. Its use allows you to quickly relieve pain of various natures - from neuralgic manifestations to inflammatory processes. Sometimes just one injection is enough to significantly alleviate the patient’s condition due to discomfort caused by muscle strain.

In complex cases associated with degenerative diseases of the spine, the drug is used intramuscularly for 4-5 days, making 1 injection per day. During treatment, you should strictly follow your doctor's recommendations and not exceed the indicated dosages, otherwise serious adverse reactions may develop. The cost of the drug is from 40 rubles per pack of 5 ampoules.

Ketonal(Ketoprofen). The active ingredient, ketoprofen, exhibits a strong analgesic and anti-inflammatory effect, and within a few minutes relieves back pain due to injuries, radiculitis or neuralgia. The solution is administered intramuscularly 1 to 3 times a day in a dosage selected by the doctor taking into account the intensity of the pain syndrome, the patient’s age and other individual characteristics.

The duration of treatment should not exceed 5 days. The drug has quite a few contraindications, it can provoke an exacerbation of peptic ulcer disease, internal bleeding, allergic reactions, so it should be prescribed only taking into account all restrictions. The price of Ketonal is from 200 rubles per pack of 10 ampoules.

Meloxicam(Movalis). It belongs to a new generation of NSAIDs and has a minimal number of side effects. It allows you to quickly and permanently eliminate pain, is well tolerated by patients, effectively fights inflammatory manifestations, and has an antipyretic effect.

The drug is often prescribed to relieve postoperative pain, as well as to relieve symptoms of rheumatoid arthritis, spondylitis, and osteoarthritis. However, an overdose of the drug can lead to gastrointestinal bleeding and cause an exacerbation of peptic ulcer disease, so it is used for no more than 3 days. Injections are given intramuscularly, at a dose of 7.5 mg, once a day. The price of Meloxicam is from 80 rubles, Movalis - from 450 rubles.

Vitamin complexes

Along with painkillers, B vitamins are prescribed for the treatment of back pain. Scientists have proven that the use of cyanocobalamine (vitamin B12) provides a good analgesic effect, and in combination with vitamins B1 and B6, an additional neuroprotective effect and a positive effect on irritated nerve fibers is provided. Modern combined complexes, in addition to vitamins, contain the anesthetic lidocaine, which makes it possible to greatly enhance the therapeutic effect aimed at combating pain. Names of vitamin complexes:

Milgamma (from 250 rubles for 5 ampoules);
Combilipen (from 120 rubles for 5 ampoules);
Neurobin (from 230 rubles for 3 ampoules);
Trigamma (from 100 rubles for 5 ampoules).

The composition of all of the above vitamin complexes is almost the same; they are based on vitamins B12, B1, B6 and lidocaine. The only difference is in the concentration of the main substances and auxiliary components. Indications for use: back pain caused by neurological manifestations of lumbago, sciatica, radiculitis, radicular syndrome, intercostal neuralgia.

Combined vitamin complexes should not be prescribed for individual sensitivity, pregnancy, lactation, or heart failure. Injections for back and lower back pain are administered intramuscularly, once a day. Duration of treatment is from 5 to 10 days. In the future, they switch to taking vitamins in tablet form.

Steroid drugs

It is advisable to use drugs in this group only in severe cases, in short courses, since they have a lot of side effects and contraindications. Injections of steroid hormones into the area of inflammation quickly relieve sharp, unbearable pain, but the duration of their therapeutic effect is insignificant.

. Intravenous injections are prescribed for rheumatic pain and intervertebral hernia. The exact dosage must be calculated by a specialist, taking into account all possible contraindications. When using the drug, edema and disturbances in the functioning of the cardiovascular system may occur. The maximum duration of treatment is 7 days. The cost of the drug is from 200 rubles.
Prednisolone. The medicine is administered intravenously by drip or deep intramuscular injection. When administered intramuscularly, the injection is given once a day; for droppers, 10 ampoules of the drug are pre-diluted in saline solution. Side effects include increased blood pressure and nausea. The average price for 1 ampoule of Prednisolone is 18 rubles.
Diprospan. The steroid hormone quickly relieves pain shock, but at the same time has a negative effect on the functioning of the adrenal glands. Injections are given only in a hospital setting; 2 mg of the drug is injected deep into the muscle in one application. During the treatment process, constant monitoring of the patient's condition is necessary. The drug should not be used to treat elderly, weakened patients and chronic diseases of the cardiovascular and respiratory systems. The price of the medicine is from 300 rubles per package.

Muscle relaxants

Muscle relaxant drugs are prescribed for severe back pain, as their action is aimed at maximizing relaxation of muscle fibers. By reducing muscle tone, pain receptors are blocked and pinched nerve endings are released. As a result, it is possible to quickly relieve excruciating attacks of pain from back injuries, sprains, muscle spasms and muscle hypertonicity caused by excessive physical exertion. Popular muscle relaxants:

Mydocalm;
Disipal;
Myoflex.

All injectable forms of drugs are prescribed for a short period (up to 7 days) in the acute period. Injections are given intramuscularly, 1-2 times a day in the dosage prescribed by the doctor.

Contraindications to the use of muscle relaxants are nervous disorders, dysfunction of the hematopoietic system, individual intolerance, pregnancy, lactation, mental disorders, myasthenia gravis (muscle weakness). During treatment, side effects such as dry mouth, nausea, decreased concentration, and emotional instability may occur. The average cost of muscle relaxants is from 400 to 600 rubles; they are sold from pharmacies with a doctor’s prescription.

Chondroprotectors

The action of chondroprotectors is aimed at restoring cartilage tissue and preventing further destruction of the vertebral discs, which helps reduce the severity of the inflammatory process and pain. For back pain caused by degenerative processes in the spine, the following medications are most often prescribed:

. Injections of the drug promote the regeneration of cartilage fibers, reduce inflammation and pain. In general, the medication is well tolerated, only in exceptional cases causing dizziness and nausea. The drug is administered once a day intramuscularly or intraarticularly. Aflutop cannot be prescribed for immunodeficiency conditions, tuberculosis, syphilis, and there are age restrictions. Price from 250 rubles for 5 ampoules, sold from pharmacies only with a prescription.
Adgelon. Indications for use are pain caused by the destruction of cartilage tissue and the formation of intervertebral hernias. Injections are given intramuscularly once a day. The duration of treatment and dosage is determined by the doctor. The medication is prohibited for use in childhood and during pregnancy. Allergic reactions may occur during treatment. The prescription drug costs from 120 rubles for 1 ampoule.
Chondrogard. The main active ingredient, chondroitin sulfate, prevents the destruction of cartilage and bone tissue, improves metabolic processes, accelerates the regeneration and restoration of damaged intervertebral discs. The use of a chondroprotector reduces inflammation, relieves pain and improves joint mobility. The average price of the drug is from 800 rubles.

New drugs that have proven themselves quite well are also effective. This is and.

Medicines to improve blood circulation

Such drugs are not intended to reduce pain, but they are included in the treatment regimen in order to improve blood circulation and provide tissues with oxygen, which ultimately helps to cope with the underlying disease and neutralize discomfort.

Injections of Cavinton or Trental are used as auxiliary agents. They have few contraindications; side effects may include increased excitability, insomnia or dizziness. The cost of Trental is on average 160 rubles, Cavinton - from 220 rubles.

Anesthetics for blockades

In cases where the pain syndrome cannot be treated with the above painkillers, novocaine blockades are used. An anesthetic solution is injected into the most painful points in the back along the spine, after which they resort to manual therapy techniques - passive muscle stretching is done, then a hot compress is applied to the injection site. Such blockades are aimed at maximum relaxation of muscle fibers.

The procedure is indicated for inflammation of the sciatic nerve, intercostal neuralgia, and herniated intervertebral discs. That is, it is prescribed for severe conditions accompanied by chronic pain syndrome. All procedures should only be performed by a specially trained, qualified professional.

Treatment of back pain is a long process that requires a correct and responsible approach on the part of the doctor. During the therapy process, many nuances related to the specifics of the disease and the patient’s condition should be taken into account. The choice of drugs is approached individually, taking into account possible contraindications, the severity of symptoms and the presence of concomitant pathologies.

Unpleasant back pain of varying intensity and character is caused by a variety of factors. Possible disturbances in the functioning of the musculoskeletal system, digestive tract, diseases of internal organs, etc. It is unlikely that you will be able to understand absolutely exactly what exactly triggered them, so if they appear, you should consult a specialist as soon as possible. It is the doctor who, after conducting the necessary research, will determine the true cause of back pain and recommend the necessary treatment. Injections for back pain are one type of treatment. Medicines that are delivered directly to the area where pain is localized begin to act faster than medicines used by other methods. Modern medicine has in its arsenal five categories of medicines that are used in the form of injections. All these categories differ in the way they affect the body. Let's take a closer look at what drugs are used, what their effectiveness is, and contraindications for use.

There are many reasons for back pain. It can be caused by digestive problems or sneezing, coughing, a stressful situation or hypothermia, diseases of the internal organs: angina pectoris, pneumonia, tuberculosis, bronchitis, nephrological diseases, etc. But with all these conditions, back pain is a concomitant syndrome. Most often, pain in the back is a characteristic symptom of pathological changes in the musculoskeletal system. It can be:

Chondrosis of the cervical, thoracic, lumbar spine.
Poor posture. (read more about the problem by following the link)
Protrusions and intervertebral hernias.
Stenosis.

From the video with therapist Elena Vasilievna Malysheva and chiropractor Dmitry Nikolaevich Shubin, you will learn about the causes of one of the diseases:

Lumbago.
At .
Spondylosis.
Intercostal neuralgia, etc.

In the initial stages of the occurrence of such diseases, as a rule, pain does not appear. But due to the development of pathological disorders, the nerve endings are affected. It is their pinching and squeezing that causes the manifestation of characteristic problems: pain, impaired motor activity, as well as numbness, burning, etc.

According to its characteristics, back pain can also be completely different: aching and shooting, acute and chronic. The back may pierce and press, ache and pull. Most often, such uncomfortable sensations depend on physical activity; they can also appear during deep breathing or staying in one position for a long time. Men can “break their back” by not calculating the load or making sudden movements when lifting heavy objects. To relieve various types of pain, on the advice of the attending physician, painkillers are used in the form of injections.

Injections can very quickly relieve discomfort in the back and lower back, but under no circumstances should they be used independently. Only a doctor can choose the right drug therapy.

Types of injections

Medicines in the form of injection solutions are used most often for moderate and severe degrees of development of pathologies of the musculoskeletal system. Often, a doctor recommends their use in situations where it is necessary to achieve immediate relief of the patient’s condition or achieve long-term, permanent results. Anti-inflammatory drugs are often prescribed to relieve pain. The pharmaceutical industry produces the following categories of medications in the form of injection solutions.

Steroid drugs.

Anesthesiologist Mark Yakovlevich Galperin tells more about injections for illness:

Muscle relaxants.
Vitamin complexes.
Chondroprotectors.

Nonsteroidal anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs have proven themselves well as pain medications for the treatment of herniated discs, protrusions, radiculitis, situations where a nerve is pinched, and almost any inflammation of the muscles and cartilage in the back, especially in the lower back. With their help, you can significantly alleviate a person’s condition in a short time, even with severe pain (lumbago) that constrains the patient when performing any, even minor, movement.

"Ketonal"

“Ketonal”, “Ketanov”, “Ketoprofen” - all of these drugs contain tromethamine ketorolac as the main element. The named drugs are widely used as painkillers when a person experiences pain. The main difference between them is the dosage of the main component. This must be remembered when using the products for patients in the older age group and people with individual intolerance to the constituent substances.

These drugs are prescribed for intramuscular injections up to 30 mg for single use. The dosage is selected individually according to age, body weight, and the stage of the back disease. The total amount of Ketonal per day should not exceed 85 mg. The injections are given within five days.

The drugs are contraindicated in the presence of the following diseases:

Bronchial asthma.
Cholecystitis.
Glomerulonephritis, pyelonephritis and other nephrological diseases.
Systemic lupus erythematosus.
Sepsis.
Malignant neoplasms.

During pregnancy, as well as for people with neurological pathologies, Ketonal is prescribed to a limited extent.

Its use often manifests itself in the form of side effects: nausea and vomiting, arrhythmia, dizziness.

The price is about 300-400 rubles. You can buy medicine at the pharmacy freely.

"Diclofenac"

Diclofenac is a popular, very effective anti-inflammatory and analgesic. In the pharmacy chain it can be found under the following names:

"Voltaren."
"Dickloberl."
"Diklak."
"Dicloran."

You will learn the indications, contraindications, method of administration and dosage of the drug diclofenac by watching the video:

"Diclofenac" is suitable for intramuscular injections; in some cases, it may be enough to perform a single procedure to get rid of back pain. The maximum course of treatment is five injections, once a day. It is commercially available and does not require a doctor's prescription, but you should not use the medicine yourself. Diclofenac has some restrictions on use:

Peptic ulcer of the stomach and duodenum, gastritis.
Cholecystitis.
Kidney failure.
Pregnancy.
Age up to six years.

If the dosage is too high, then disorders of the digestive system, dizziness, internal bleeding, and an allergic reaction of the body are possible.

"Meloxicam"

Meloxicam blocks inflammatory processes in muscles, suppresses back pain, and removes swelling.

"Meloxicam" cannot be used simultaneously with any other NSAIDs, because Possible poisoning. Injections of the drug are given intramuscularly, once a day. A single dose is 7.5 mg. The course of treatment is up to a maximum of three days. The product can be bought without a prescription, its approximate price is 75 rubles.

The medicine should not be used by patients with a history of peptic ulcers, bronchial asthma, or individual intolerance to the components of the medicine.

When using the product, the following undesirable consequences may occur:

Allergy.
Acute renal failure.
Heart rhythm disturbances.

"Neurobion"

Neurobion is a drug that quickly eliminates pain in muscles and joints, and is often used for the conservative treatment of arthritis and arthrosis, as well as for lower back pain. Use it once if your back hurts unbearably, then take pills. Among the side effects, patients note allergic reactions to the medicine. Neurobion is not prescribed to women during pregnancy and breastfeeding. Dispensed in pharmacies only by prescription, because the drug contains a component that can cause cardiac arrest.

"Trigamma" and "Dexalgin"

A mild action product that can be used for up to ten days. Not commercially available, used under medical supervision. Not prescribed during pregnancy and for children under six years of age. Side effects are possible from the gastrointestinal tract.

Average price for 5 ampoules of 25 mg/ml 2 ml 500 rubles

"Dexalgin" is a popular pain reliever for the back. Most often prescribed in the postoperative period to quickly reduce the pain response. Dexalgin injections for back pain are given for no longer than five days.

In the treatment of severe back pain, increasing the dosage or repeatedly replacing one drug with another is considered an ineffective solution. It is more advisable to use different forms of release (ointments, gels, tablets, injections) of one medicine.

Steroid drugs

Injections for back pain with steroid drugs can significantly reduce the pain syndrome in a short time, however, for a short time. They have many contraindications and side effects, so their use is possible only under the supervision of a doctor. The main advantage of steroid drugs is that they can be administered to the patient directly into the affected area. Pain blockade is performed by injecting directly into the part of the back or lower back that is most painful.

Medicines of this group are used in different dosage forms, but most often in the form of injection solutions administered intravenously and intramuscularly. Steroid hormonal drugs can be prescribed simultaneously with NSAIDs (Diclofenac, Ibuprofen, etc.). In this case, constant monitoring of the patient’s well-being by a doctor is required.

The most commonly prescribed steroid hormones are Diprospan and Kenalog.

In the video, dermatovenerologist Vyacheslav Vasilyevich Makarchuk talks about the drug diprospan:

"Diprospan" is a powerful anti-inflammatory medicine that is used in the form of injections for back and lower back pain. It is often enough to inject the patient once to make him feel much better. Depending on the situation, Diprospan is used several times. Unlike non-steroidal anti-inflammatory drugs, hormonal injections are not given every day. Typically, the interval between procedures ranges from three days to three weeks. The doctor decides how to treat the patient in each specific situation strictly individually.

"Kenalog" is a medicine used as pain-relieving injections for severe back pain; it also quickly suppresses inflammatory processes. One injection of Kenalog, which is placed in the buttock, may be enough to stop a person’s back pain. Procedures can be performed no more often than once a month, because... With more frequent use, adrenal dysfunction is likely to occur.

In addition to the above-mentioned hormonal medications, doctors quite often recommend the use of the following list of medications:

"Hydrocortisone."
"Prednisolone."
"Betamethasone."
"Flosteron".
"Diprospan".

Almost all of them have side effects and contraindications, so use them carefully, be sure to consult a doctor. There are no freely available medications.

Muscle relaxants

The main task of muscle relaxants is to relax muscle fibers and reduce increased muscle tone. Muscle relaxants, like injections for back pain, have not been used for very long. The fact is that they do not relieve swelling and inflammation, like NSAIDs or analgesics. But they are indispensable when the back begins to hurt due to excessive muscle tension. The pharmaceutical industry offers a small range of muscle relaxants. As a rule, you can buy Mydocalm, Myoflex, Norflex, and Disipal in pharmacies. These are injection solutions used during periods of exacerbation of pain. It is recommended to use them once a day, for a maximum of a week. Then, if your back continues to hurt, the doctor prescribes pills. Medicines - muscle relaxants (in the form of a solution for injections) cost from 200 to 600 rubles. As a rule, they are not prescribed to pregnant women, children, or people with mental disorders. People suffering from allergies need to be attentive to their reactions.

Vitamin complexes

A lack of vitamins and microelements leads to a decrease in immunity, which leads to various pathological disorders in the body. For back pain, injections of vitamins and their complexes are often prescribed. You can often find the following names:

"Compligam V".
"Combilipen".
"Trigamma".

They are usually prescribed as additional means to maintain a person’s general health. But doctors have recognized that B vitamins have analgesic properties, help with back pain, neutralize discomfort, affect metabolism, and help restore damaged nerve fibers. They are prescribed in different ways: both as individual vitamins and as a complex.

Thiamine (B1) is contained in the drug "Aneurin". Restores blood supply and nutrition to damaged areas of bone and joint tissue.
Riboflavin (B2) is usually prescribed along with other B vitamins to relieve back and lower back pain.
Pyrodoxine (B6) is necessary for normal nutrition of the bone marrow, especially recommended for children and older people.

After watching the video you will learn about vitamin B6, its health benefits, signs of deficiency and daily intake:

Injections of B vitamins are usually given in a course of 10 procedures, then the drugs are taken in pill form for one month. As comprehensive remedies, pharmacists offer the following medications, which contain all the necessary vitamins:

"Milgamma".
Vitaxon.
"Neurobion".
Neuromax.
"Nerviplex" and others.

B vitamins are necessarily prescribed if a person has back pain due to radiculitis or neuropathologies. During periods of exacerbation of pain, these injections are given together with non-steroidal anti-inflammatory drugs and muscle relaxants.

Another often prescribed set of injections for back and lower back pain is a combination of calcium, magnesium and vitamin D. Calcium is important for the strength of bone tissue, magnesium affects the supply of essential nutrients to it, and without vitamin D these microelements cannot fully perform their functions . The complex is prescribed as an auxiliary therapy for diseases of the musculoskeletal system.

Chondroprotectors

Medicines in this category are designed to initiate restoration processes in the cartilage tissue of the vertebrae, thereby relieving back pain. The best chondroprotectors used as injections for lower back pain are Adnelon and Alflutop.

"Adgelon" is recommended if your back hurts due to intervertebral hernias. An injection is prescribed once a day, the dose is 2 mg. During periods of acute pain, it is increased to 6 mg. As a rule, the injection is given once. "Adgelon" cannot be administered before the age of twelve. An unexpected reaction of the body may manifest itself as a rash on the skin. One ampoule costs about 120 rubles, a prescription is required.
"Alflutop" starts the process of regeneration of cartilage tissue, reduces pain in the back area, including the lower back. It is prescribed 1 mg once a day, the duration of injections can be up to 3 months. "Alflutop" is contraindicated for children, as well as for patients with AIDS, tuberculosis, and syphilis. The drug is well tolerated, in isolated cases it causes dizziness and nausea.

Neurologist Mikhail Moiseevich Shperling talks about the use of chondroprotectors in the treatment of spinal diseases:

Treatment with chondroprotectors is appropriate only in the initial stages of the disease, when a person still has cartilage tissue in the affected areas.

Medicines to improve blood microcirculation

Medicines that improve blood microcirculation in the lumbar region are considered additional therapy, because they are not able to influence the intensity of pain or reduce it. The result of their intake is blood saturation with oxygen, improvement of microcirculation in the lumbar spine. They are used in complex therapy to treat pathologies of the musculoskeletal system.

Cavinton is available in the form of tablets and solutions. The injections are given through an IV. Saturates the blood through the blood vessels with oxygen, improves tissue nutrition. It is prescribed, as a rule, to patients with insufficient blood microcirculation, which is caused by the side effects of basic medications that relieve back pain. "Cavinton" cannot be prescribed to patients under one year of age and people in the older age category, because there is a high risk of internal bleeding. The medicine also has side effects (digestion, insomnia). "Cavinton" can be purchased without restrictions, but it should be taken in consultation with a specialist.
"Trental" acts on the body in the same way as "Cavinton". Injections are given intravenously, twice a day, 10 ml. The maximum daily intake is 25 ml. The medicine is prohibited for use in patients with cancer, as well as disorders of the circulatory system. Taking Trental can affect the nervous system, causing overexcitation. The drug is sold in the pharmacy only by prescription. Costs approximately 160-180 rubles.

Average price of Cavinton ampoules 50 mg 300 rubles

In situations where painkillers have not helped and the back hurts, doctors offer the person an injection technique in the form of a blockade and muscle stretching. It is carried out in this way: the patient lies on his stomach, on his back, in the lower back, the most sensitive to touch places are determined, where the Novocaine injection is given. Immediately, the muscles are passively stretched, and then hot compresses are applied to the sore spot. After removing the compresses, the patient needs to move around so that the painful muscle warms up. This technique is carried out only by experienced specialists with special skills.

When a person begins to feel pain, one should not self-medicate or hope that the pain will go away on its own. It must be remembered that the back and lower back can hurt due to various reasons, so to determine them and prescribe the necessary therapy, you need to consult a doctor. He will help you navigate a large selection of medications that can be used for back pain and determine which injections are suitable in each specific case.

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